- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $348.03 / $2,229.00 / $3,363.00
| Facility | | $348.03 | $2,229.00 | $3,363.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $229.20 / $362.62 / $642.97
| Professional | | $229.20 | $362.62 | $642.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $572.99 / $2,826.85 / $9,039.00
| Facility | | $572.99 | $2,826.85 | $9,039.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $289.87 / $620.87 / $2,713.84
| Professional | | $289.87 | $620.87 | $2,713.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $290.04 / $372.70 / $665.35
| Facility | | $290.04 | $372.70 | $665.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $396.77 / $579.27 / $987.70
| Professional | | $396.77 | $579.27 | $987.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $308.88 / $539.12 / $990.69
| Professional | | $308.88 | $539.12 | $990.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $214.32 / $370.20 / $6,679.00
| Facility | | $214.32 | $370.20 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $433.18 / $527.71 / $728.45
| Professional | | $433.18 | $527.71 | $728.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $316.54 / $665.59 / $1,080.68
| Professional | | $316.54 | $665.59 | $1,080.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,928.58 / $1,928.58 / $1,928.58
| Facility | | $1,928.58 | $1,928.58 | $1,928.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $275.64 / $780.00 / $794.95
| Professional | | $275.64 | $780.00 | $794.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,245.02 / $3,764.00 / $11,500.00
| Facility | | $1,245.02 | $3,764.00 | $11,500.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $420.62 / $799.96 / $2,713.84
| Professional | | $420.62 | $799.96 | $2,713.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,902.00 / $3,764.00 / $8,766.00
| Facility | | $1,902.00 | $3,764.00 | $8,766.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $385.20 / $599.80 / $1,138.73
| Professional | | $385.20 | $599.80 | $1,138.73 |